Trent W Wierick (NPI# 1932122330, PAC ID# 6800027434) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1932122330 |
| PAC ID by PECOS | 6800027434 |
| Professional Enrollment ID | I20140325001653 |
| Full Name | Trent W Wierick |
| Organization Legal Name | THE EDGE PHYSICAL THERAPY AND SPORTS SCIENCE CENTER |
| Address |
727 American Way Suite 2 Shreveport LA 71106-6117 |
| Phone Number | 3188410696 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5496801334 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 727 American Way, Suite 2, Shreveport, LA 71106-6117 | 3188410696 | THE EDGE PHYSICAL THERAPY AND SPORTS SCIENCE CENTER |
| Organization Legal Name | THE EDGE PHYSICAL THERAPY AND SPORTS SCIENCE CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Moore | Physical Therapy | The Edge Physical Therapy and Sports Science Center | 727 American Way, Suite 2, Shreveport, LA 71106-6117 |
| Kelli S Snyder | Physical Therapy | The Edge Physical Therapy and Sports Science Center | 727 American Way, Suite 2, Shreveport, LA 71106-6117 |
| Street Address |
727 AMERICAN WAY SUITE 2 |
| City | SHREVEPORT |
| State | LA |
| Zip | 71106-6117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Moore | Physical Therapy | The Edge Physical Therapy and Sports Science Center | 727 American Way, Suite 2, Shreveport, LA 71106-6117 |
| Kelli S Snyder | Physical Therapy | The Edge Physical Therapy and Sports Science Center | 727 American Way, Suite 2, Shreveport, LA 71106-6117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamal A Masri | Internal Medicine | 3801 Creswell Ave, Unit 19, Shreveport, LA 71106-1257 | |
| Michael D Pickering | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Carla Carter | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Jessica K Lantz | Optometry | Eye Care, Inc | 5848 Line Ave, Shreveport, LA 71106-1532 |
| Robert Newton Schwendimann | Neurology | Remote Neuromonitoring Physicians PC | 751 Oneonta St, Shreveport, LA 71106-1623 |
| Kelly A Yerger | Nurse Practitioner | 910 Pierremont Rd, Suite 234, Shreveport, LA 71106-2058 | |
| Lindsey A Pennington | Otolaryngology | 6030 Line Ave, Suite 110, Shreveport, LA 71106-2073 | |
| Tiffany A Jennings | Psychologist, Clinical | 920 Pierremont Rd, Suite 205, Shreveport, LA 71106-2093 | |
| Brandy Morgan Stroud | Clinical Social Worker | Interactional Services, Inc | 707 Southfield Rd, Shreveport, LA 71106-2219 |
| Linda I Grayson | Clinical Social Worker | Interactional Services, Inc | 707 Southfield Rd, Shreveport, LA 71106-2219 |
| Find all physicians in zip 71106 | |||
| City | SHREVEPORT |
| Zip Code | 71106 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SHREVEPORT + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Trent W Wierick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.